Choroiditis

Choroiditis: causes, symptoms and treatment

Choroiditis is an inflammatory disease of the choroid, which is often combined with inflammation of the retina (chorioretinitis). This disease can be caused by various factors, including infectious diseases, eye injuries, and complicated myopia.

The pathogenesis of choroiditis can be exogenous, that is, it occurs during injury, or endogenous, when the pathogen enters the vessels of the retina and then into the choroid. Microbial toxins, allergies and immunoaggression play a role in the development of the disease.

Symptoms of choroiditis may include decreased vision, flickering before the eyes (photopsia), distortion of objects (metamorphopsia), scotomas in the visual field, and, if the process is peripherally localized, hemeralopia. In the fundus one can observe grayish or yellowish lesions with unclear contours that extend into the vitreous body, and the vessels of the retina pass over them without interruption. As a result of the disease, which is usually characterized by a long, relapsing course, atrophy of the choroid occurs - the lesion becomes white or slightly yellowish in color, has clear contours, and pigmentation appears in it.

Treatment of choroiditis depends on the degree of the inflammatory response. In case of a pronounced inflammatory reaction, mydriatic agents are used, such as a 1% solution of atropine sulfate or a 0.2% solution of scopolamine hydrobromide and others. In the acute period, it is recommended to install 1% hydrocortisone emulsion 4-5 times a day, apply 0.5% hydrocortisone ointment 3-4 times a day, as well as subconjunctival and retrobulbar injections of 0.2 ml of 0.5-1% cortisone or hydrocortisone emulsion 1-2 times a week. General antiallergic and anti-inflammatory therapy may include butadione, salicylamide, calcium supplements, diphenhydramine, diprazine (pipolfen), antibiotics and sulfonamides.

The prognosis for patients with choroiditis depends on how severely the disease affects the retina and choroid. With central chorioretinitis and atrophic changes in the retina, visual acuity is significantly reduced. It is important to consult a specialist at the first signs of the disease in order to begin treatment and prevent possible complications.

Overall, choroiditis is a serious condition that can lead to blurred vision and other complications. Therefore, if you suspect the development of this disease, consult an ophthalmologist for diagnosis and treatment. Be attentive to your health and do not delay visiting your doctor if you have any vision problems.

What is choroiditis?

Choroiditis is an inflammatory disease of the choroid and its vessels, which are located at the back of the eyeball. The choroid is also called the choroid. This is the inner part of the eye shell, which is surrounded by the retina.

It performs a number of important functions, including maintaining the normal structure of the eye, and plays an important role in the internal organs of the visual system. The progression of the disease leads to abnormal blood supply to the choroidal papillae and the gradual loss of its functions. Often caused by the penetration of infection into the tissues of the ocular apparatus. Sometimes its development is caused by retinitis, a disease of the retina. The following types are distinguished:

Front. The disease is manifested by acute and excruciating pain, the appearance of floating “floaters” before the eyes and color hallucinations. Further development leads to dilution of the intraocular fluid and atrophy of the choroid elements. When the capsule is opened, retinal detachment may occur. It often occurs as a result of injury, stroke, or even HIV infection.

Rear. Patients complain of the appearance of dark spots in front of the organs of vision and a feeling of overload in the eyes, as if after prolonged work at the computer. As a rule, it develops after bacterial or fungal infections, penetration of foreign bodies into the body, or chorioretinitis.

Spicy. Diagnosed in the absence of other causes. It occurs as an independent disease, triggered by overheating, prolonged exposure to direct sunlight or exposure to chemicals on the cornea. The conjunctiva turns red, there is a feeling of sand in the eyes, and swelling of the eyelids is observed. Pain is usually not noted.

Choroiditis is an inflammation of the retinal choroid - the choroid, which can have varying degrees of severity, depending on the area of ​​damage and the effectiveness of treatment. Choroiditis can be associated with a variety of conditions and diseases, including infection, autoimmune diseases, systemic diseases and